Individual
IHUOMA U NWOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 S LAKESHORE DR, TEMPE, AZ 85282-7155
(480) 462-0142
Mailing address
PO BOX 25444, TEMPE, AZ 85285-5444
(162) 331-3528
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2020114217
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12233445566
—
AZ
Enumeration date
01/05/2021
Last updated
01/10/2023
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